Gypsy Moon

Hi, I've been a nurse for over ten years, mostly working in med/surg. I've had multiple issues with different nursing supervisors and authority figures attacking me. It is difficult for me to deal with the constant quality improvement projects. I fin...

Hi Dinah, There might be a reason why they are acting like that. Here are some ideas on it: they have bad management could be at any level of the chain of command or even across disciplines so that they are acting that way as a result of the environm...

Mostly roxanol and ativan. Also consider oxygen as a medication and how it might prolong life as opposed to providing comfort. Along those lines, albuterol. How might roxanol help with air hunger? Recently had some haldol prescription given to someon...

In my experience, hospitals have been training people specifically in HIPPA to never peruse charts on patients who are not assigned to us. As you said this happened back in the day of paper charts, perhaps before everyone was constantly getting this ...

Ha, ha, ha. I see this was posted seven years ago and I wonder if you are still a nurse. I have been a nurse for almost 10 years in med/surg. We have some positive things about our job. But it is usually a very hard job. I cope by working an non- ben...

I have been a med/surg nurse for 10 years. I must say that your nurse to patient ratio sounds really bad if you are in a hospital. I don't work full time anymore because I can't tolerate the pace and stress of nursing. Even with four patients, someti...

I was discussing this with fellow nurses and the unit secretary today about a patient in the hospital who wanted to leave but was so confused she was only oriented to herself, lives alone, and had no ride. It is our responsibility as professionals to...

I didn't read all pages of the post but in my experience PIV lines will not always give blood return even if they are patent. I didn't read all the research either, but my thoughts on this are that the valves in the vein are often contributing factor...

I am burned out on med surg nights also and have been since about the three year mark but still keep ending up with managers who want to put me in that slot. I did go back and recently earned a Masters in Nursing Leadership online from GCU and this h...

Well, I met with my supervisors and they said that it is definitely within my scope to read them if I have the training. They said I could go to the EKG class in January. My one supervisor is an EMT and a nurse (he has an associates in nursing) and h...

I am a med/surg tele nurse and can interpret telemetry rhythms. When it comes to EKG's I have always had the docs sign off on them. If I chose to learn to interpret EKG's then I would feel confident in my skills. The other day a new doctor asked me o...

How strange, rocephin usually is given over an hour for IV injection. What a bizarre practice for giving IV ceftriaxone. Not just the air injection but the bolus of it.

Hi, I was thinking about this today. The D& C may have been the source of the air embolism and not the IV line. See the article by Stephanie Gordy & Susan Rowel, Vascular Air Embolism. Doi: 10.4103/2229-5151.109428 Oh also check Wikipedia o...

I was wondering if the Nursing Supervisor gets a bonus for coming in under budget? It seems like that would be the only reason to run short staffed or increase patient/nurse ratios. With reimbursement being partially based on patient satisfaction, fr...

But all of those things being equal, increasing an assignment 50% gives the HOSPITAL 2-3% profit and is that WHY the supervisor chooses to email staff how bad patient satisfaction is and then increase the work load? Just curious about that rumored b...

Oh dear toomuchbaloney, So crazy but one sweet, young supervisor laughed that patients come to the hospital to see the nurses. Rather they come to see the doctors. It is difficult to explain I guess l

Esme, that sounds terrible. My CNA has 15 and I have 8? I don't know about chemo except when I float, they mostly are ambulatory and oriented but tired. I have had a supervisor tell me it would benefit me to be able to give chemo. Maybe I am off cou...

Yes, I don't want to make the company run in the red. But happy, cared for patients would seem like a better goal than a few more percentage points in the black. What kind of patient ratios in Boston? Maybe I should move there

So, on another site, I found average cost per day of hospitalizations for various surgeries of $10,000 - $14,000. And the bedside nurse has 4 to 6 patients. At 4, that is $40,000 / day and at 6, that is $60,000 / day. And if the nurse earns $75 / ho...

Thank you for your input. So it could be that there is just pressure on the manager, and not compensation. I was looking at quarterly earnings online and a lot of hospitals are running at profit and bringing in percentages of profit around 2 to 8 pe...